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Get N95 Fit Test Form
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How to fill out the N95 Fit Test Form online
Completing the N95 Fit Test Form online is an essential process for ensuring the proper fit and safety of respiratory masks. This guide provides clear, step-by-step instructions tailored to help users accurately fill out the form.
Follow the steps to complete the N95 Fit Test Form online
- Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
- Begin by entering the date and the Medical Record Number (MRN) at the top of the form.
- In the 'RESPIRATOR FIT TESTING RECORD' section, fill in your name and the respirator type you are testing.
- List the brand and model number for each respirator in the designated fields along with the NIOSH Approval Number.
- In the 'Application' section, indicate the applicable use cases, such as Tuberculosis or SARS, as needed.
- Identify any limitations that may affect the fit test, marking the relevant options such as 'None,' 'Dentures,' or 'Beard/Facial Hair,' and providing explanations if necessary.
- Complete the 'Training' section, ensuring to check all applicable training received related to the respirator usage.
- Fill in the 'Fit Test' section, documenting whether the fit test was satisfactory for both qualitative and quantitative tests.
- Add any additional comments that may be relevant to the fit testing process.
- Sign and date in the 'Employee Signature' field, and ensure the trainer also signs and dates their respective section.
- Finally, save any changes made to the form, then download, print, or share it as necessary.
Complete your N95 Fit Test Form online today to ensure safety and compliance.
You need to make sure any long hair is tied back and that your face is clean-shaven to provide the most effective seal. Respirator wearers also need to be aware that facial scars as well as facial and dental surgery can impact the size and protection level offered by their respirator.
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